Rationale and design of individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE): a multicenter historically controlled study

Author:

Chen Yi,Zhong Wansi,Gong Xiaoxian,Hu Haitao,Yan Shenqiang,Zhang Xuting,Chen Zhicai,Zhou Ying,Lou MinORCID

Abstract

Abstract Background Guideline-based medical care has been identified to improve outcomes in stroke. However, data acquisition and medical quality management during hospital stay still need to be improved in China. We have developed a computer-based medical data collecting system, together with automated calculation of key performance indicators (KPIs) and regular individualized education, and thus aim to explore whether it can improve the medical care quality of acute ischemic stroke (AIS) during hospital stay in stroke centers. Methods The individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE) trial is a prospective, multicenter, historical control study among 30 stroke centers in China. In this trial, the data is directly extracted from the saved original medical record of each AIS patient during hospital stay, regardless of different Electronic Medical Record System (EMRS) in each center. Then, the automated calculation of KPIs and the regular education via teleconference per month allow the clinicians to examine the causes of non-compliance of guideline-based care and develop programs to decrease their frequency. Discussion We compare KPIs between pre-intervention stage and post-intervention stage (without or with education) among stroke centers. If proved effective, this approach might be generalized around China and even worldwide, where a unified EMRS is difficult to be applied and in-patient care needs to be improved. Trial registration ClinicalTrials.gov NCT03684629. Registered on 9 December 2018. Retrospectively registered.

Funder

the National Natural Science Foundation of China

the National Key Research and Development Program of China

the Science Technology Department of Zhejiang Province

Publisher

Springer Science and Business Media LLC

Subject

Pharmacology (medical),Medicine (miscellaneous)

Reference26 articles.

1. Li Z, Wang C, Zhao X, Liu L, Wang C, Li H, et al. Substantial progress yet significant opportunity for improvement in stroke care in China. Stroke. 2016;47(11):2843–9.

2. Zhou M, Wang H, Zhu J, Chen W, Wang L, Liu S, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013. Lancet. 2016;387(10015):251–72.

3. Grimshaw J, Eccles M, Thomas R, MacLennan G, Ramsay C, Fraser C, et al. Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. J Gen Intern Med. 2006;21(Suppl 2):S14–20.

4. Wang Y, Li Z, Xian Y, Zhao X, Li H, Shen H, et al. Rationale and design of a cluster-randomized multifaceted intervention trial to improve stroke care quality in China: the GOLDEN BRIDGE-Acute Ischemic Stroke. Am Heart J. 2015;169(6):767–74 e2.

5. Hassan AE, Ossowski SE, Malik AA, Sanchez C, Abantao E, Sanchez O, et al. Does hospitalist directed care for acute ischemic stroke patients improve adherence to “Get with the Guidelines”? J Vasc Interv Neurol. 2016;9(2):30–3.

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3